mhealth in russian federation 2015: context and trends

mHealth in Russian Federation

2015: context and trends

NAMI + Portal RAMN

● Healthcare administration

● National leaders in advancing eHealth

Objectives

• Care management for the complete life-cycle of the invidividual

• Across all channels of financing

• Maximizing access to medical care (MO and beyond)

Internet users: nation-wide

• 65 mln. penetration

• 2014 > 55% - active internet users

• Yearly growth:

• 130%-300% (per region)

• Larger than a village? = over 50% use internet

Internet resources use● Yandex (search engine)

● Mail.ru (email services)

● VK.ru (vkontakte, social network)

● Odnoklassniki.ru (social network)

● Google (.ru+.com)

● Youtube

● Rambler

● Facebook

Buying on-line

● Russia: 1,2% of eTrade globally

● 22 mln. purchase goods online

● 2014: $658 spent online 1person/year

● Top 3: electronics (44%), clothes (13%)

Russian online sales leaders

1. rzd.ru

2. aeroflot.ru

3. ulmart.ru

4. citilink.ru

5. onetwotrip.ru

6. exist.ru

7. anydayanyway.com

8. s7.ru

9. biglion.ru

10. svyaznoy.ru

11. emex.ru

12. utkonos.ru

Specificity 1

● Desktop broadband leapfrogged to fast mobile data

● Leading the planet in social network engagement (average time spent online by user)

● 5mln users in Russian medical Internet at any time,

● over 50k medical sites, GR 30% yearly

Specificity 2● Pharma and dietary supplements 4th on the

market

● Pharma ads up 35% yearly

● > 40% e-users search treatments and prevention

● > 70% don’t seek timely care for “lack of time”

● Mobile app use growing fast (x3 in 2014)

Stage-driven Infrastructure

Nation-wide:

● Common State Information System

Within:

● Moscow Common State Information and Analysis System

● (interaction patient - MO - payor)

Russian mHealth 2015

● Inception phase, 3% of the world mHealth market by 2017 ($800mln.)*

● Health financing by state DOWN, private sector UP

● 7,5% medical professionals with Internet access

● No-go without payor interest

Demand for mHealth

General telemedicine:

● specialists, consulting, remote consulting, palliative care, encounter management

Virtual hospitals and contact centers + remote patient monitoring (RPM):

● cardiology, endocrinology, dermatology, psychiatry, OBGYN, orthopedics, gerontology

mHealth infrastructure

Insufficiencies:

● few integration platforms, slow diversification and licensing

● complicated data privacy and protection laws

● Lack of reimbursement for telecare and mhealth services

Trends:

● first sustainable mHealth pilots

● payors think-tanks on mHealth advancements

General mHealth Data Routing

Care Management Contact-Center

mHealth Payors

Governmental:

3 State Social Security Funds:● Social Medical Insurance

(potential)

Non-governmenal

NAMI + PORTAL RAMNcrystallizing the ultimate:

VIRTUAL HOSPITAL

MO

PATIENTGENERAL PRACTITIONER

existing mHealth Pilots 1

●Phase 1 – choosing a medical profile for a pilot

●Phase 2 – finding a clinic with the political will and

leaders

●Phase 3 – Detailed feedback from medics (specificity-

driven by the medical profile)

●Phase 4 – Choosing mHealth

precision/price/usability/reliability/licensing

existing mHealth Pilots 2

●Phase 5 – test implementation, select cases and staff

●Phase 6 – feedback and improvement iteration

●Phase 7 – large-scale pilot deployment

●Phase 8 – publications/reports/press/media

●Phase 9 – funding, purchasing, scaling

mHealth: RPM profile

Examples: “eClone”

•Gamified•Intuitive•Interactive•mHealth-informed•Scenario-driven (“Tamagochi”)•Engaging•Open API, modular

mHealth considerations: market entry

●Is it State-certified? (org: ROSZDRAVNADZOR)

●Is there a rep-office in Russia? Is there Russian-language

support and tech support?

●How effective is the manufacturer’s IT Dpt.?

●Are expendables expensive?

●Financing alternatives for varying POS types: direct

consumer sales, payor-facilitated (sales/lease/rent-to-

own)

Summing it up

● Market is far from saturation

● Time to stake out the land.

● Certify! Local integration platform leaders!

● Give for pilots and convert physicians!

● Work with local leaders to penetrate state healthcare via influential enthusiasts, purchasing will follow from sustainable precedents, long game.

portalramn.rupresentation and commentary

Dr. Petr Kuznetsov, CEO,

Insurance company MEDSTRAKH, PORTALRAMN

Konstantin Chebotaev, International Projects,

Insurance company MEDSTRAKH

konstantin.chebotaev@gmail.com